NHS insiders warn some of the costs will have to be met from existing budgets amid renewed pressure on pay and construction costs

Ambulance services across England face paying millions more in ballooning fuel costs this year, amid warnings that the NHS will face renewed pressures on pay, energy and construction costs in 2023.

Figures seen by the Observer reveal that each ambulance service in England expects to spend more than £1m on fuel over the next year as inflation continues to bite. Overall, the bill is set to rise by at least £14m in a single year.

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